Form Center

2. A. General Information
4. Permit Type*

   1. 1.3G Large Display

   1. 1.4G Pyro

   1. Flame Effect
6. Project/Site Name:*
8. Site Address*
10. City*
11. State
12. Zip Code*
14. Location of Display*

    (ex. open field, behind stage, etc.)

16. Description of Display*
20. B. Company/Licensee Information
22. Company Name*
23. Contractor ID Number*
25. Address*
27. City*
28. State
29. Zip Code*
31. Business Phone*
32. Fax Number*
34. Contact Name*
35. Position*
37. Phone Number*
38. Mobile Number*
40. Email Address*
42. License Number*
43. Type*
44. Expiration Date*
46. Applicant Name*
47. Position*
48. Phone Number*
52. C. Fireworks Event Details
54. Show Date*
    Show Date
55. Show Time*
    Show Time Start Time

    —

    Show Time End Time
56. Show Date
    Show Date
57. Show Time
    Show Time Start Time

    —

    Show Time End Time
59. Business Name*
60. Show Name*
64. D. Certification

66. I have read and examined this completed application and hereby certify that the information contained within is true and correct to the best of my knowledge.  All provisions of law and ordinance governing this type of work will be complied with whether specified or not.  The granting of a permit does not presume to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.  I also understand that the installation of any of the work related to this permit application shall not proceed until approved plans are issued from the City of Marshall Fire Department.

68. Applicant Name*
69. Position*
71. Electronic Signature Agreement*

    1. I agree.
72. Electronic Signature*
74. Date*
    Date
75. Company Name Applicant Represents*
79. E. Accommodations Request
81. Fire Department Apparatus*

    1. Yes
    2. No
82. Number of Units?*
84. Fire Department Personnel*

    1. Yes
    2. No
85. Number of personnel?*
87. Police Department Apparatus*

    1. Yes
    2. No
88. Number of units?*
90. Police Department Personnel*

    1. Yes
    2. No
91. Number of personnel?*
93. Street Closures*

    1. Yes
    2. No
94. Street name(s)?*
96. Barricades (1 per lane)*

    1. Yes
    2. No
97. Number of barricades?*
101. F. Submittals

103. Please attach a site plan, insurance certificate, copy of license, TDI State Fire Marshal Application, and a list of display specifications. Allow 10 business days to review the application prior to the event. 

     City of Marshall Fire Department

     601 S. Grove St.

     Marshall, TX  75670

     (903) 935-4580

     Monday-Friday 8:00 am-5:00 pm 

     (excluding City observed holidays)

105. Site Plan*
106. Insurance Certificate*
107. Copy of License*
109. TDI State Fire Marshal Application*
110. List of Display Specifications*
Leave This Blank:


126. 1. Receive an email copy of this form.
127. Email address

     This field is not part of the form submission.

128. Submit Submit and Print

* indicates a required field